NPI 1194149799 · live from the CMS NPI Registry
Ellen K Adler, BCBA
Behavior Analyst in Saint Joseph, MI. National Provider Identifier 1194149799, active.
NPI record
| NPI | 1194149799 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2001 Niles Ave, Saint Joseph, MI 49085 |
| Practice phone | 269-983-5833 |
| Mailing address | 2505 E Jefferson Blvd, South Bend, IN 46615 |
| Enumerated | February 18, 2014 |
| Last updated | July 30, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-13-14979 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.